NORMAN E BLASE OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046007666

License Status

ACTIVE

Business

First Name

NORMAN

Middle

Last Name

BLASE

Suffix

Business Name

NORMAN E BLASE OD

Original Issue Date

07/28/1983

Effective Date

03/05/2026

Expiration Date

03/31/2028

City

CHICAGO

State

Zip

60614

Ever Disciplined

LastModifiedDate

03/05/2026